Sezvo chemotherapy inosvika pakubudirira uye varwere vanorarama kwenguva yakareba, hupenyu huri nani, vanopona vari kutarisana nemigumisiro inogona kukanganisa hupenyu hwehupenyu. Imwe yakadaro inokonzera kutotoxicity - kukanganisa kunze kwemukati nehupfu.
Kanzira Mishonga Inogona Kuita Inonzwa
- Chemotherapy kubva mu "platinum" boka, rakadai sa cisplatin kana kuti yakakwirira ye carboplatin. Platinum chemotherapy uye aminoglycoside antibiotics kukuvadza manzwiro emvere dzemawere mukati mezeve yomukati, zvichiita kuti manzwiro anonzwa kurasikirwa. Kazhinji kazhinji, zvinoitika zvakafanana munzeve mbiri uye ndezvekusingaperi.
- Kuyera kwemazuva ano kusvika kumusoro kana muuropi, kunyanya kana danda racho richiendeswa kune brain brain kana nzeve. Kupisa maziso kunzeve kana huropi kunogona kukonzera kuputika kana nzeve yekuvhara mukati yekunze, zvinetso nemvura inenge yakasvibiswa mukati mezeve, kana kuomesera kweeardrum kana mapfupa emapaupa ari pakati. Zvose zvezvinetso izvi zvinogona kukonzera kurasikirwa kwekunzwa kunzwa. Mishonga inogonawo kukanganisa masero emvere dzenzeve mukati memuteve yomukati, zvichiita kuti sora rinonzwa kurasikirwa. Kukuvadzwa kunobva pamagetsi kunogona kuchinja imwe kana nzeve mbiri, zvichienderana nenzvimbo yekurapa kwemaawa.
- Kuvhiya kunosanganisira uropi, nzeve, kana kuti nhungete.
- Mamwe maantibayoti uye diuretics. Kukuvadza kubva kuLoop diuretics kunokonzerwa nekushandura muhuwandu hwemvura uye munyu mukati mezeve yomukati, zvichiita kuti zvipfukutu zviwande uye zvinetso nekupararira kwemashoko emagetsi. Nenzira inofadza, rudzi urwu rwekurasikirwa kwekunzwa kazhinji kenguva pfupi, asi dzimwe nguva inogona kuva yekusingaperi, kunyanya apo diuretic inopiwa pamwe chete ne platinum chemotherapy kana aminoglycoside antibiotics.
Vaya Vari Panjodzi Yakakwirira Mukuteerera Kurasikirwa
- Zvimwe zvinokonzera njodzi yekurasikirwa kwekunzwa kusati kwaonekwa chirwere chekenza (zvakadai sepamberi pekurapa neaminoglycoside antibiotics, kuberekwa kunorema, kana meningitis).
- Vaiva vaduku kudarika makore emakore panguva iyo vakagamuchira kurapwa kunogona kukonzera kukanganisa nzeve.
- Yakagamuchira cisplatin kana carboplatin.
- Yakagadziridzwa mazaisai kusvika munzeve, uropi, mhino, sinuses, nehuro, kana pakati pezviso panzvimbo ye cheekbones.
- Waiva nehutu, kuvhiyiwa, kana hutachiona hwakakura hwakabatanidza uropi, nzeve, kana tsvimbo yepamusoro, kana kuti kudikanwa kwekuisa shunt.
- Yakagadzirirwa kupfuura rudzi rumwe rwemishonga inogona kukonzera kurasikirwa kwekunzwa (zvakadai sokubatanidzwa kwehupi hwehupfungwa uye cisplatin chemotherapy, kana kurapwa nezvose cisplatin uye carboplatin chemotherapy)
- Vakanga vasina mafungiro asina kunaka panguva iyo vakagamuchira chemotherapy kana mamwe mishonga inogona kukuvadza kunzwa.
Zviratidzo zvekunzwa kurasikirwa
- Kutambudzika kunzwa mushure mekupedzisira mhere.
- Kutadza kuteerera pfungwa (zvakadai semanzwi, nheyo dzakatipoteredza)
- Kunzwa kunzwika ( kuridza, kurira, kunyunyutira, kana kunamatira ) munzeve yako kana pasina mhere dzomukati dziripo. Mhere-mhere inogona kusiyanisa mumakumbo kana kuchinja kubva munzeve kusvika kune nzeve.
- Vamwe vanhu vangave vasina zviratidzo zvachose.
Kana kamwe-kamwe chemo-yakanamirwa nzeve yekukuvara yakaonekwa, murwere angave ari mukana we intratympanic steroid injection kuitira kuti usanyanya kurasikirwa kwekunzwa kana kuti kunyange kupora basa.
Munhu wese ane chirwere chekenza chinogona kukanganisa nzeve (zvakadai se cisplatin, kureba kwema carboplatin, kureba kwemazuva ano kusvika kuuropi) inofanira kunge yakanzwisiswa kamwechete kamwe mushure mokupera kwekurapa.
Chido chekuwedzera kuongororwa chinoenderana nemhando uye chiyero chekurapa kwekenza yakashandiswa. Kana kurasikirwa kwekunzwa kuwanikwa, kuedza kunofanira kudzokorwa gore negore kana sekurairwa neanotologist. Mukuwedzera, kunzwa kunofanira kuongororwa chero nguva apo dambudziko rekunzwa rinenge richifungidzirwa.
Kana kurasikirwa kwekunzwa kwaonekwa, zvinokosha kuti uve nekuongororwa nenyanzvi yevanhu. Kunzwa kurasikirwa kunogona kukonzera matambudziko nemunhu kukwanisa kutaura uye kuita mabasa ezuva nezuva. Saka zvakakosha zvikuru kune munhu ane kurasikirwa kwekunzwa kuwana hutano huchabatsira zvakanakisisa kuti uwane zvakanakisisa zvavanogona kutaura zvakanaka.
Pane zvakawanda zvinosarudzwa zviripo, uye izvi zvinogona kushandiswa mumakwikwi akasiyana-siyana, zvichienderana nechinetso chekunzwa.
Sources:
Prevenas, Nick. Bhuku reUA Cancer Centre rinobatsira varwere vane chirwere chinokonzerwa nemakemikari anoenderana nekurasikirwa. Yunivhesiti yeArizona Cancer Center. Feb. 26, 2013.
Vana Oncology Group Mazano Ekutevera Kwenguva refu
kune Vakapukunyuka Vechidiki, Vana Vechidiki, uye Young Cancers Adult
www.survivorshipguidelines.org